# Medable vs SmartSignals® eCOA

The clearest difference is rating: SmartSignals® eCOA at 5.0 against Medable's 4.8. SmartSignals® eCOA also leads on iOS requirement (13.0 vs 16.5). Medable's advantage is update cadence (every 2 weeks vs monthly) and ratings volume (16 vs 2). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

SmartSignals® eCOA holds the better App Store score, 5.0 against 4.8. That said, the two scores are not equally well evidenced: Medable has 16 ratings behind it against 2, so its average is the more settled of the two.

Medable ships an update every 2 weeks, SmartSignals® eCOA monthly. The most recent releases landed on September 8, 2026 and September 10, 2026 respectively.

## The numbers

| Metric | Medable | SmartSignals® eCOA |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.8 (16 ratings)](https://appshunter.io/ios/app/medable/id1160464791/reviews) | **[5.0 (2 ratings)](https://appshunter.io/ios/app/smartsignals-ecoa/id1602206850/reviews)** |
| Number of ratings | **16** | 2 |
| Positive reviews | 50.0% of reviews | — |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 weeks** | Monthly |
| Monetization | Free | Free |
| Size | 118 MB | 53 MB |
| Requires iOS | 16.5 | **13.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 4+ | 4+ |
| Developer | [Medable, Inc.](https://appshunter.io/developer/660544651) | [Signant Health Oy](https://appshunter.io/developer/885378600) |

## What reviewers say

### Medable

[App page](https://appshunter.io/ios/app/medable/id1160464791)

This app connects participants to clinical trials, providing a comprehensive eCOA solution. It facilitates digital data collection, ePRO, eDiaries, visit scheduling, and televisits. Users receive notifications and access trial resources, with potential integrations for sensors and wearables.

**Highlights:** Digital data collection, Electronic patient-reported outcome (ePRO), eDiaries and questionnaires, Visit and activity scheduling, Televisit capabilities, Notifications and reminders, Trial resources access

**In-app purchases:** none


### SmartSignals® eCOA

[App page](https://appshunter.io/ios/app/smartsignals-ecoa/id1602206850)

This app facilitates data collection from patients and caregivers in clinical trials for new medicines. It provides easy access to questionnaires, helping participants follow study protocols and ensuring data privacy.

**Highlights:** Patient data collection, Caregiver data collection, Clinical trial participation, Questionnaire access, Timely reminders, Patient privacy compliance

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is Medable free?

Medable is free to download, with no in-app purchases.

### Is SmartSignals® eCOA free?

SmartSignals® eCOA is free to download, with no in-app purchases.

### Which has better reviews, Medable or SmartSignals® eCOA?

SmartSignals® eCOA is rated higher. Medable averages 4.8 out of 5 from 16 ratings, while SmartSignals® eCOA averages 5.0 from 2 ratings.

### Do Medable or SmartSignals® eCOA have ads?

Neither Medable nor SmartSignals® eCOA shows ads.

### Which is updated more often, Medable or SmartSignals® eCOA?

Medable ships an update every 2 weeks, and SmartSignals® eCOA monthly. Most recently, Medable was updated on September 8, 2026 and SmartSignals® eCOA on September 10, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*